| |
2731 Main St, Newfane, NY 14108-1203 | |
(716) 778-0926 | |
(716) 778-0926 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2731 Main St, Newfane, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508989211 | NPI | - | NPPES |
106166CS | Other | NY | PREFERRED CARE |
NY3149 | Other | NY | EYEMED |
000300233002 | Other | NY | BCBS PROVIDER ID |
7212222 | Other | NY | INDEPENDENT HEALTH |
00026473001 | Other | NY | UNIVERA |
330867 | Other | NY | NVA |
0005901355 | Other | NY | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
500 Davison Rd, Lockport, NY 14094-4021 Ph: (716) 778-0926 | 2731 Main St, Newfane, NY 14108-1203 Ph: (716) 778-0926 |